This historical case report documents a rare primary tumor of the inferior vena cava and heart associated with hemopericardium and electrical alternans.
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Prompts consideration of rare IVC tumors in unexplained hemopericardium with alternans; extends case literature but leaves open prospective characterization.
Case Reports1 December 1942PRIMARY TUMOR OF THE INFERIOR VENA CAVA AND HEART WITH HEMOPERICARDIUM AND ALTERNATION OF THE VENTRICULAR COMPLEXES IN THE ELECTROCARDIOGRAMJOHN A. REISINGER, M.D., F.A.C.P., T. J. PEKIN, M.D., BASIL BLUMENTHAL, M.D.JOHN A. REISINGER, M.D., F.A.C.P., T. J. PEKIN, M.D., BASIL BLUMENTHAL, M.D.Author, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-17-6-995 SectionsAboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail ExcerptTumors of the heart, both primary and metastatic, are usually considered rare. Yater1summarized most of the literature up to 1931 and in the reports of authors quoted by him, the incidence of metastases to the heart varied from .02 per cent to 1.4 per cent of all autopsies and from 3.7 per cent to 7.5 per cent of all cases with malignancies. Scott and Garvin2noted series of cases published by Lymburner, by Pollia and Gogal and by Hellwig in which the incidence of tumors of the heart and pericardium varied from 0.2 per cent to 0.9 per cent...References1. YATER WM: Tumors of the heart and pericardium, pathology, symptomatology and report of nine cases, Arch. Int. Med., 1931, xlviii, 627. CrossrefGoogle Scholar2. SCOTTGARVIN RWCF: Tumors of the heart and pericardium, Am. Heart Jr., 1939, xvii, 431. CrossrefGoogle Scholar3. HALLACKWATSONBERMAN PCJL: Primary tumors of inferior vena cava, with clinical features suggestive of Chiari's disease, Arch. Int. Med., 1940, lxvi, 50. CrossrefGoogle Scholar4. EWING J: Neoplastic disease, 1922, 2nd ed., W. B. Saunders Co., Philadelphia. CrossrefGoogle Scholar5. RIXFORD E: Traumatic rupture of the right auricle with patient surviving nine weeks, Am. Heart Jr., 1936, xi, 111. CrossrefGoogle Scholar6. MCNAMARA WL: Cardiac rupture associated with metastases to the heart from carcinoma of the duodenum, Trans. Los Angeles Pathological Soc., Arch. Path., 1936, xxii, 565. Google Scholar7. BRODYROSSMAN JGPL: Electrical alternans, Jr. Am. Med. Assoc., 1937, cviii, 799. CrossrefGoogle Scholar8. SMITH WC: Ventricular tachycardia showing bi-directional electrocardiograms, associated with digitalis therapy, Am. Heart Jr., 1928, iii, 723. CrossrefGoogle Scholar9. HAMBURGERKATZSAPHIR WWLNO: Electrical alternans, a clinical study with report of two necropsies, Jr. Am. Med. Assoc., 1936, cvi, 902. CrossrefGoogle Scholar10. KISCH B: Der Herzalternans, 1932, Theodor Steinkopf, Leipzig. Google Scholar11. LEWIS T: The mechanism and graphic registration of the heart beat, 1920, Shaw and Sons, London. Google Scholar12. FELDMAN L: Electrical alternans occurring in a case with pericardial effusion, Am. Heart Jr., 1938, xv, 100. CrossrefGoogle Scholar13. HARVEYWHITEHILL AMMR: Tuberculous pericarditis, Medicine, 1937, xvi, 45. CrossrefGoogle Scholar This content is PDF only. To continue reading please click on the PDF icon. Author, Article, and Disclosure InformationAffiliations: Washington, D. C.*Received for publication October 11, 1940.From the Cardiovascular Unit, Veterans' Administration, Washington, D. C. Published with the permission of the Medical Director of the Veterans' Administration, who assumes no responsibility for the opinions expressed or the conclusions drawn by the authors. PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetails Metrics Cited byIntravascular papillary endothelial hyperplasia of superior vena cava: a rare cause of the superior vena cava syndrome.Primary Angiosarcoma of the Heart. A Case Report and Review of the English LiteratureEndothelioma of the Mitral ValveCARDIAC HAEMANGIO-ENDOTHELIOSARCOMA Review of the Literature and Report of a CaseAngiosarcoma of the heartElectrical alternans with emphasis on recent observations made by means of single-cell electrical recordingElectric alternation of the heartElectrical alternans in association with hemorrhagic pericardial effusion∗Nontraumatic hemopericardiumANGIOSARCOMA OF THE HEARTHemopericardium with Electric Alternans.Total Electrical Alternation in Pericardial DiseaseElectric Alternans in Pericardial EffusionSECONDARY TUMOURS OF THE HEART AND PERICARDIUMPrimary malignant tumors of the heartReport of a caseHemangio-endothelioblastoma of the heart 1 December 1942Volume 17, Issue 6Page: 995-1004KeywordsAutopsyElectrocardiographyHeartInferior vena cavaPericardium Issue Published: 1 December 1942 PDF downloadLoading ...
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